Individual
DR. IMTIAZ ZAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 RODMAN AVE, PORTSMOUTH, VA 23707-3119
(757) 399-1970
(757) 436-3460
Mailing address
PO BOX 9886, CHESAPEAKE, VA 23321-0886
(757) 436-2620
(757) 436-3460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101048628
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005846757
—
VA
Enumeration date
12/12/2006
Last updated
06/02/2011
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